Provider Demographics
NPI:1518333897
Name:VERONICA'S SALON AND HAIR RESTORATION
Entity Type:Organization
Organization Name:VERONICA'S SALON AND HAIR RESTORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED HAIR LOSS SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWERTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-822-0808
Mailing Address - Street 1:636 PINEY FOREST RD
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24540-2873
Mailing Address - Country:US
Mailing Address - Phone:434-822-0808
Mailing Address - Fax:434-822-0707
Practice Address - Street 1:636 PINEY FOREST RD
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24540-2873
Practice Address - Country:US
Practice Address - Phone:434-822-0808
Practice Address - Fax:434-822-0707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-20
Last Update Date:2015-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case ManagementGroup - Single Specialty